Most Decline Proactive Care Coordination - Summary - MDSpire
From the Journals

Most Decline Proactive Care Coordination

"Lack of effective communication across physicians is a health system problem."

  • By

  • Andrea Surnit

  • May 6, 2026

  • 5 min

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A randomized clinical trial published in JAMA Network Open highlights that most older Medicare patients with cardiovascular disease declined proactive care coordination services, preferring to manage physician communication independently. The study evaluated 400 patients within an accountable care organization in New York City, revealing no significant reduction in emergency department visits or hospitalizations when comparing proactive outreach to usual care. Disparities in accepting services were noted, with many patients citing self-coordination as their primary reason for opting out. Researchers suggest refined care coordination approaches to better serve patients with specific needs.

Original Source(s)

Most Decline Proactive Care Coordination

  • by Andrea Surnit

  • May 6, 2026

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